| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.88 | $122.88 | $122.88 | |
Aetna
| Professional | $86.39 | $101.18 | $565.13 | |
BCBS
| Professional | $171.17 | $201.78 | $378.44 | |
Cigna
| Professional | $92.85 | $92.85 | $378.44 | |
MVP Health Care
| Professional | $92.85 | $111.66 | $274.58 | |
United
| Professional | $104.22 | $154.60 | $238.48 |